Individual provider Active NPI

Jeremy R Larson, DO

  • Psychiatry Physician
  • St George, UT
National Provider Identifier
1932551801
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
12615241-1204 Issued in UT
Practice address
134 N 200 E Ste 302
St George, UT 84770-2899
Phone
(435) 288-2880
Fax
(435) 522-3290
NPI assigned
Jul 5, 2016
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 12615241-1204 UT Primary
Addiction Psychiatry Physician 2084P0802X 12615241-1204 UT

Addresses

Primary practice location

134 N 200 E Ste 302
St George, UT 84770-2899

Mailing address

134 N 200 E Ste 302
St George, UT 84770-2899
Phone (435) 288-2880

Other practice location 1

150 N 200 E Ste 100
St George, UT 84770-2500
Phone (435) 288-2880

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220608002535 UT Practitioner - Psychiatry 5698163996 Reassigns benefits to 3 organizations
Practice locations: St George, UT

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Touro Un Col of Osteopathic Medicine, Henderson, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Larson and Hirschi Psychiatry PLLCGroup PAC ID 9133657273, 2 clinicians

Practice addresses (Care Compare)

134 N 200
Suite 302
St George, UT 84770-2899
Phone (435) 288-2880

321 No Mail Dr
BLDG VW 101
St George, UT 84790-5790
Phone (435) 218-6298

321 No Mail Dr BLDG VW
Suite 101
St George, UT 84790-5790

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
12615241-1204UTMDAddiction Psychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Success PLLC CurrentSince Oct 3, 2024 Accepting new patients
Center for Couples & Families CurrentSince Sep 20, 2022 Accepting new patients
Larson & Hirschi Psychiatry PLLC Psychiatry CurrentSince Jan 8, 2024 Accepting new patients
Center for Couples & Families CurrentSince Sep 20, 2022 Accepting new patients
Liahona Academy for Youth, LLC Past Accepting new patients

Locations

83 S 2600 W
Ste 103
Hurricane, UT 84737

1173 S 250 W
Ste 208
St George, UT 84770
Phone (435) 632-6900

134 N 200 E
Ste 302
St George, UT 84770
Phone (435) 218-2880

321 N Mall Dr
Ste 101
St George, UT 84790
Phone (702) 281-4307

321 N Mall Dr
Ste VW101
St George, UT 84790
Phone (435) 225-6566

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1467676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1932551801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 N 200 E STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702899",
            "telephone_number": "435-288-2880",
            "fax_number": "435-522-3290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "134 N 200 E STE 302",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847702899",
            "telephone_number": "435-288-2880",
            "fax_number": "435-522-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "150 N 200 E Ste 100",
            "address_purpose": "LOCATION",
            "city": "St George",
            "state": "UT",
            "postal_code": "847702500",
            "country_code": "US",
            "telephone_number": "435-288-2880",
            "fax_number": "435-522-3290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LARSON",
        "first_name": "JEREMY",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-05",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "UT",
            "license": "12615241-1204",
            "primary": true
        },
        {
            "code": "2084P0802X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Psychiatry",
            "state": "UT",
            "license": "12615241-1204",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.